HomeMy WebLinkAbout39903-Z r
, ,'%11 0,Eir p Town of Southold 8/26/2015
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;� • P.O.Box 1179
1 53095 Main Rd
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CERTIFICATE OF OCCUPANCY
No: 37740 Date: 8/26/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 325 Summit Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 35.-8-5.23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/26/2015 pursuant to which Building Permit No. 39903 dated 6/26/2015
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
2 LED LIGHTS ON POLE IN REAR YARD
The certificate is issued to Alfonso,Fernando&Alfonso, Stacey
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39903 08-13-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
o t,r TOWN OF SOUTHOLD
• BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Pyr o� SOUTHOLD, NY
01 „
Ma.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 39903 Date: 6/26/2015
Permission is hereby granted to:
Alfonso, Fernando &Alfonso, Stacey
41-38 Westmoreland St
Little Neck, NY 11363
To: Electric installation for pole with LED light
At premises located at:
325 Summit Ln, East Marion
SCTM # 473889
Sec/Block/Lot# 35.-8-5.23
Pursuant to application dated 6/26/2015 and approved by the Building Inspector.
To expire on 12/25/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil;'i ig Inspector
gi
/���,�O��OF SOOr�ol _
Town Hall Annex �� ~ o : Telephone(631)765-1802
54375 Main Road ; * Z Fax(631)765-9502
P.O.Box 1179 % cl,
; as. 0 r` oger.richertRtown.southold:ny.us
:
Southold,NY 11971-0959 091,
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alfonso
Address: 325 Summit Lane City: East Marion St: New York Zip: 11939
Building Permit#: 39903 Section: 35 Block: 8 Lot: 5.23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pro Electric License No: 41413-ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment. 2 LED Lights On Pole In Rear Yard
Notes:
---..)
Inspector Signature: V-7,--52-
c--------
Date: August 13, 2015
Electrical 81 Compliance Form.xls
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D• 1 all Annex I 1 +� 4 , , • 46 % Telephone(631)765-1802'07
'i Y .� ax(6.51)705- 5p2
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Sou •old, ` 11971-0959 Al :'e 0-0',11
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUEST-ED BY: �`' i
I E2-rtjAiu 0 0 • 1� s o Date: G-26- ZO l S�
'Company Name: ,�r _ -
1f cevi r,•vL�a
Name: • ' k‘,6 ---r@: ®.);e\1°� a - \ ci � \eect c' - ;-
-
License No.:
t41b--NS- _
Address: \� -, -N,a(.1%pip\‘IN QoCie.e 6-tt`cenr-\
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Phone No.: Q5 \._ bo 4i oG k i
JOBSITE INFORMATION: (*Indicates required information) -
*Name: 325- Sv►Kp° f LA-0-Eskmbo A yLs')
*Address: % 2 S U .14 f- L PrN'S - -
*Cross Street: He v- - -
ru �
*Phone No.: -Z 18 3,44-+-log 6 • _
Permit No.: _ 2j?6?()aj
Tax•Map District: - 1000 Section: 3.s Block: 8 Lot: S- 2 3 •
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) - .
1K4114( 4/0ri 0f PIt. L LED Grg/-/ - . I .
(P(ease Circle All That Apply) •
*Is job ready for inspection: - YES(Tb. Rough In Final
*Do-you need a Temp Certificate: YES - - 3
Temp Information I - •. . . - . � -
*Service Size: 1 Pi _- 3Phase 100 150 200 300 350 400 Other
*New Service: Re-conne t Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection FormU �
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of� ,'. • 'Dated: ' : - 8/28/2006 j: a3 g$r&s:, 5. i•
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